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Healthamongus Registration Form

The 2025 Healthamongus event will was registered through a lottery system on April 2, 2025. If you missed the dealine, please contact Jeff Speed at jeff.speed@nanaimo.ca to see if your class can be accommodated.

Please complete the information below.

Submission of this form does NOT guarantee your space at Healthamongus. Please coordinate all classes at your school and submit this form ONCE.


Please fill in the chart below with the number of students per class being registered each day. If you are teaching a split-class, you must choose one day; we encourage you to select the day based on the grade majority in your class.

PLEASE NOTE: Every effort will be made to keep school groups together, however schools may be split up to maintain manageable station sizes.


Monday, May 12
(Grade 4/5 )


Tuesday, May 13
(Grade 3/4)


Wednesday, May 14
(Grade 2/3)


Thursday, May 15
(Grade 1/2)


Friday, May 16
(Kindergarten/1)

Please indicate below if there is anything else we need to know about your class(es). For example, relevant information on split classes or if you have a student who may require activity adaptations (ie: uses a wheelchair). Be sure to include which class/date you are referring to and what type of adaptations may be necessary.


Additional Details:

  • Cost is $3 per registered student. Schools will be invoiced based on the registration numbers submitted above.
  • Invoices must be paid in full by April 23, 2025 in order to participate.
  • Refunds will only be given in the event of a rain cancellation, and not for student absences/no shows.
  • The email address you use on this form will receive the submission confirmation. Please use an email address that is monitored. 
Collection and use of your personal information

Information collected on this form is done so under the general authority of the Community Charter and Freedom of Information and Protection of Privacy Act (FOIPPA) and is protected in accordance with FOIPPA. Personal information will only be used by authorized staff to fulfill the purpose for which it was originally collected, or for a use consistent with that purpose. Questions about the collection of your personal information may be referred to the Legislative Services Department at 250-755-4405, or via email at foi@nanaimo.ca. Please also see our Privacy Policy.

Last updated: April 3, 2025

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Collection and use of your personal information

Information collected on this form is done so under the general authority of the Community Charter and Freedom of Information and Protection of Privacy Act (FOIPPA) and is protected in accordance with FOIPPA. Personal information will only be used by authorized staff to fulfill the purpose for which it was originally collected, or for a use consistent with that purpose. Questions about the collection of your personal information may be referred to the Legislative Services Department at 250-755-4405, or via email at foi@nanaimo.ca. Please also see our Privacy Policy.